HomeMy WebLinkAbout314605 08/08/2017 CITY OF CARMEL, INDIANA VENDOR: 371870
DAVID BERGSMA CHECK AMOUNT: $""*"*"**19.26*
q ONE CIVIC SQUARE 14261 W PREVAIL DRIVE CHECK NUMBER: 314605
CARMEL, INDIANA 46032 CARMEL IN 46033 CHECK DATE: 08/08/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I��L FEES TION
EXPENSE
1082 4343000 REIMB 19.26
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Bergsma, David
14261 W Prevail Dr
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/25/17 Reimb Mileage 5/17 - 5/24/17 $ 19.26
Total $ 19.26
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
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